Search › Georgia › 106S00000X
Ephesian Tisdale, RBT
NPI 1659019834 · on the registry since 2022
Practice
- Address
- 2387 Huntcrest Way
Lawrenceville, GA 30043 - Phone
- (678) 648-7644
- Clinicians at this address
- 155
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-05-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia